Already 20% of all children are born by cesarean section – referred to as cesarean section by the medical profession, in Germany meanwhile every fifth child is born via cesarean section. That is, it does not experience the natural course of birth through the vagina of the mother. Through an operative abdominal section, the baby sees the light of day with the help of doctors and midwives.
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Reasons for a cesarean section
There are several reasons why parents choose (have to) a cesarean section. These include:
- a high probability of birth complications, because, for example, child size and pelvic shape are in a problematic relationship
- under certain circumstances, twin births
- Bubble jumps that cause cracks in the womb and thus pose a risk of infection for the baby (so-called. Amnioinfektionssyndrom)
- severe illnesses in mother or child
- HIV infection in pregnant women
- a placenta abdomen lying before the cervix (so-called placenta praevia )
- a premature birth
- meager birth weight as well
- an unfavorable position of the baby
If these reasons are already known during pregnancy, a planned cesarean section is often performed. If complications occur during labor (such as premature placental abruption or decrease in the heart sounds of the child), an emergency cesarean section can also be performed.
If a woman feels emotionally and physically unable to give birth to her baby during pregnancy, so-called “desired imperial cuts” are also possible.
The course of a cesarean section
Overall, the surgical procedure of a cesarean section takes up to one hour. If he is in an emergency situation, he is usually carried out under general anesthesia.
Under long-term and medium-term planned circumstances, the doctor usually performs a regional anesthetic. With this, the expectant mother can experience the birth with consciousness and thus see her child immediately after delivery.
The abdominal incision is performed at a section in the bikini area. Depending on the surgical procedure, the layers of the abdominal wall are not completely cut in favor of better wound healing, but also partially stretched and torn.
Mother and child after the cesarean section
The application of the child to the breast of the mother is just as possible after a cesarean section as after a natural birth. Also, the regression uterus often works fine, albeit a bit slower. With the participation in the Rückbildungsgymnastik can begin after a caesarian section, as well as after natural childbirth, after about six weeks.
The risks of a cesarean section
Although cesarean section is one of the most common operations with no complications, the risk of having a cesarean birth is three times higher than a natural birth. This is also true because these are often high-risk pregnancies. The risk of a woman dying from cesarean section is statistically low at 0.05 per thousand (one in 25,000 women).
The effects of a cesarean section OP
Anyone who chooses a cesarean section to escape a painful birth should remember that during the cesarean section is associated with wound healing pain. However, the car often heals easily and is not visible under a bikini.
With a pre-pregnancy, women should wait at least one year after a cesarean section. The longer the scar can heal, the higher the chances of natural birth.
Often, mothers are much faster mobile after a natural birth than after a cesarean section. Ambulatory childbirth (leaving the hospital immediately after delivery) is not possible with a cesarean birth.
The following aspects are often considered a disadvantage by many mothers:
- Babies often suffer from adjustment disorders after a cesarean section, as they were born without any preparation. To mitigate this, some gynecologists initiate labor pains before the cesarean section. This is to tune the child to the birth better and show him that something special is happening or will happen. In some hospitals, but also waiting for the natural onset of labor.
- Partly occur in the child due to the lack of squeezing the amniotic fluid from the lungs at the passage of the birth canal more frequent breathing problems.
However, a Caesarean section also has advantages:
After a cesarean section women suffer as a rule not to pelvic floor problems and not to vaginal or perineal tear -Narben.
In contrast to some intermediate representations and widespread myths, after a cesarean section, women can give birth to more children in a completely natural way. However, the risk of uterine rupture in a postcentral condition is increased. The attachment of mother and child is usually no different in a cesarean section than in normal birth.